RT Journal Article T1 Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain A1 Beltran-Aroca, Cristina M. A1 Ruiz-Montero, Rafael A1 Llergo-Muñoz, Antonio A1 Rubio, Leticia A1 Girela-López, Eloy K1 COVID-19 K1 Cancer K1 Ethical issues K1 Legal medicine K1 Palliative care K1 Pandemic K1 Pandemias K1 SARS-CoV-2 K1 Neoplasias K1 Ética K1 Medicina legal K1 Cuidados paliativos AB Background: The COVID-19 pandemic outbreak has severely affected healthcare organizations worldwide, and the provision of palliative care (PC) to cancer patients has been no exception. The aim of this paper was to analyse the levels of health care provided by the Clinical Management Unit for PC in Córdoba (Spain) for cancer patients.Method: a retrospective cohort study was conducted. It analyzed the PC internal management database including all cancer patients treated in the period of 2018-2021.Results: 1967 cases were studied. There was a drop in cancer cases (p = 0.008), deaths at the PC hospital (p < 0.001), and referrals from primary care (p < 0.001). However, there was a rise in highly complex clinical situations (p = 0.020) and in ECOG performance status scores of 3-4 (p < 0.001). The pandemic was not shown to be a risk factor for survival in the PC program (0.99 [0.82-1.20]; p = 0.931). However, being female (p = 0.005), being older and having a high Karnofsky Performance Status (KPS) score (p < 0.001) could be indicators of a longer stay.Conclusion: The COVID-19 pandemic has presented a challenge in the management of patients requiring PC and has highlighted the urgent needs of the healthcare system if it is to continue providing a level of care which meets the needs of patients and their families. PB MDPI SN 1661-7827 YR 2021 FD 2021-11-15 LK http://hdl.handle.net/10668/3509 UL http://hdl.handle.net/10668/3509 LA en NO Beltran-Aroca CM, Ruiz-Montero R, Llergo-Muñoz A, Rubio L, Girela-López E. Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain. International journal of environmental research and public health. 2021;18(22) DS RISalud RD Apr 12, 2025